Individual
JORDAN AUSTIN MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5250
Mailing address
231 PEACH ORCHARD DR, PIKEVILLE, KY 41501-9075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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